Identifying markers of biofilm formation on medical-grade stainless steel as a representative medical device material

) bacterial species that are prone to contaminate medical devices as biofilms. Biofilm was extracted at early and late biofilm stages and then tested for several analytes, including protein, ATP, endotoxin, peptidoglycan and total organic carbon. The levels of these analytes were compared to c.f.u. and metabolic activity to qualitatively compare analyte levels with biofilm burden. The results presented demonstrate that the DFR can be used to model biofilm formation of several medically relevant micro-organisms on stainless steel. Furthermore, the analytical data obtained with this study indicate that the analytes used can be a good starting point for informing the selection of endpoints in future studies that evaluate the efficacy of cleaning and disinfection within the context of biofilm reduction.